At Risk for Problem Drinking
From Expert System: Alcoholism
We define an "At Risk" stage for problem drinking as the earliest and most treatable form of alcoholism. It is this "forme fruste" that can be subtle and hard to recognize, both by the sufferer and his intimates. We characterize this stage of incipient dependency as the presence of two or more of the following signs, most of which are also seen both in alcohol abuse and alcoholism:
1. Increasing inclination to use alcohol to relieve stress, anxiety, or depression.
2. Preoccupation with use of alcohol, for example, thinking about taking a drink to "feel better" or "get high."
3. Development of rituals such as having a drink before sex, while watching TV, prior to going out, etc.
4. Occasional depression, irritibility or mood changes attributable to drinking.
5. Fear of becoming an alcoholic.
Alcoholism almost always starts in this "at risk" category. Although many do not go on to develop true dependency or abuse, this early stage of possible "alcoholism to come" often begins to affect relationships and quality of life. It is the earliest and therefore the best time for intervention in the form of confrontation by family or friends and referral for treatment.
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